ABSTRACT
Se presenta el caso de un angiofibroma juvenil nasofaríngeo, en un paciente del consultorio médico No. 9, que pertenece al Policlínico Integral Docente Carlos Manuel Portuondo de Marianao. Se reconoce la importancia de realizar una historia clínica detallada, así como un minucioso examen físico, por el médico de familia y el otorrinolaringólogo del área de salud, que incluyó la rinoscopia posterior, para poder llegar al diagnóstico de esa patología, y realizar la extirpación precoz del angiofibroma, mediante el proceder quirúrgico. Se concluyó que el diagnóstico clínico se correspondió con el histopatológico, y que la conducta quirúrgica temprana es resolutiva en la afección
It is presented a case of juvenile nasopharyngeal angiofibroma in a patient with this pathology, from the clicial practice No. 9, in Comprehensive Teaching Polyclinic Carlos Manuel Portuondo in Marianao. It recognizes the importance of a thorough clinical history and careful physical examination by the family physician and the otolaryngologist in this health area, including a posterior rhinoscopy, to diagnose this disease and to achieve early removal of the angiofibroma, by a surgical procedure. It was concluded that the clinical diagnosis corresponded to the histopathological diagnosis, and that early surgical treatment is resolute in this condition
Subject(s)
Humans , Male , Adolescent , Angiofibroma/surgery , Angiofibroma/radiotherapy , Nasopharyngeal Neoplasms/pathology , Case ReportsABSTRACT
The geographic position and consideration of the multi-racial hearths that came to the Philippines modified the existing Negroid, Proto-Malay and Malay population. The influence of Chinese and Indian migration penetrated deep into the family structure of the Filipinos brought about thru intercommunal mixtures. The inferred predilection of the tumor among the Filipinos were discussed. Working on the theory of possible inter-racial influence on nasopharyngeal tumor genesis the authors discounted its implication after retracing the ethnic contact between the two peoples. While the incidence of nasopharyngeal tumors range from third to twelfth most common malignancy observed in the four institutions studied; it represented only 2.31 per cent of the total malignancies among the Chinese admitted in the Chinese General Hospital. Of the 7,153 different malignancies gathered in these institutions, 2.83 percent of 203 cases are nasopharyngeal tumors. It is significant, however, that all Chinese patients are from the southern province of the China mainland. The average Filipino patient is 46 years, a decade younger than those reported in Western literatures. The tumor behavior follows greater morbidity among the younger age group and assumes earlier remote metastasis. Clinical symptoms observed nasal neck mass as the most common compared to deafness, nasal obstruction, epistaxis and cranial nerve involvement. Bilateral neck nodal involvement, proven by aspiration, is present in 45.4 percent. This neck enlargement is found initially or incombination with the other symptoms with or without obvious primary lesion at the time of examination. This behavior of the tumor with evident early potential metastasis demands extreme scrutiny for possible nasopharyngeal tumor. Lymphoepithelioma appears more in our series (32.0 percent) probably due to lack of strict criteria for these tumors. Causal relationship of associated factors are tabulated; nutritional and co-existing diseases reviewed.(Summary)
Subject(s)
NeckABSTRACT
Objective:To explore the therapeutic effect of Chinese herbal medicine for prevention and treatment of acute radiation oropharyngeal inflammation of nasopharyngeal carcinoma.Methods:120 cases of nasopharyngeal carcinoma were randomly divided into an experiment group of 60 cases treated with Chinese herbal medicine and a control group of 60 cases with gargling of Dobell's solution.The incidence rate and the extent of radiation oropharyngeal inflammation,total therapeutic time and short-term therapeutic effect in both groups were investigated.Results:There was no oropharyngeal inflammation of grade 0 in both groups. The incidence rate of radiation oropharyngeal inflammation in the experiment group was significantly lower and the effective rate was significantly higher than those in the control group(P0.05).Conclusion:Chinese herbal medicine combined with radiotherapy can relieve acute radiotherapy oropharyngeal inflammation in the patient of nasopharyngeal carcinoma with no significant adverse reaction and do not influence the short-term therapeutic effect.